| Webster County School Based Community Health Center | |
|
1 Highlander Dr Upperglade WV 26266-9400 | |
| (304) 226-3993 | |
| (304) 226-5003 |
| Full Name | Webster County School Based Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Highlander Dr, Upperglade, West Virginia |
| Authorized Official Name and Position | Margaret Hickey (CEO) |
| Authorized Official Contact | 3042265725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Webster County School Based Community Health Center 10003 Webster Road Camden On Gauley WV 26208-0069 Ph: (304) 226-5725 | Webster County School Based Community Health Center 1 Highlander Dr Upperglade WV 26266-9400 Ph: (304) 226-3993 |
| NPI Number | 1629248612 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 6002867850 |
|---|---|
| Medicare Enrollment ID | O20080530000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629248612 | NPI | - | NPPES |
| 001709708 | Other | WV | MS BCBS |
| 0035222000 | Medicaid | WV | |
| 3810014660 | Medicaid | WV | |
| 5197060 | Other | WV | AETNA |
| CC5506 | Other | WV | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |